Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $158.49 / $251.19	Facility		$57.54	$158.49	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $37.15 / $223.87	Professional		$23.99	$37.15	$223.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Professional		$18.62	$18.62	$18.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $117.49 / $257.04	Facility		$79.43	$117.49	$257.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $57.54 / $61.66	Professional		$53.70	$57.54	$61.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Facility		$239.88	$239.88	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $72.44 / $89.13	Professional		$29.51	$72.44	$89.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $109.65 / $251.19	Facility		$36.31	$109.65	$251.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $22.39 / $138.04	Professional		$15.49	$22.39	$138.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $95.50 / $95.50	Professional		$77.62	$95.50	$95.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $109.65	Facility		$93.33	$93.33	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $35.48 / $74.13	Facility		$15.49	$35.48	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $22.39 / $37.15	Professional		$21.38	$22.39	$37.15